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Absorbed Dose to Water Rate in a Cyberknife VSI System Reference Field Using Ionization Chambers and Gafchromic Films

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International Journal of Medical Physics, Clinical Engineering and Radiation Oncology 2017年第1期6卷 80-92页

作者： Guerda Massillon-JL Nestor Aragó n-Martí nez Arnulfo Gó mez-muñ oz Instituto de Fí sica Universidad Nacional Aut&oacute noma de Mé xico Ciudad de M&eacute xico M&eacute xico Hospital de Oncologí a Centro M&eacute dico Nacional Siglo XXI Ciudad de M&eacute xico México

This work investigated the absorbed dose to water rate under reference conditions in a Cyberknife VSI system using radiochromic films EBT3 and MD-V3 and three ionization chambers: an Exradin A12 and two FC65P Welhöfer Scanditronix with different serial numbers. The correction factor,, was studied using a Varian iX linac and the Cyberknife system. The measurements in the Varian iX were performed in a 10 × 10 cm2 field, 10 cm depth in liquid water at 90 cm and 70 cm SSD and in a 5.4 × 5.4 cm2 field, 10 cm depth at 70 cm SSD to simulate the Cyberknife conditions. In the Cyberknife system, measurements were performed using ionization chambers and both film types at 70 cm SSD and 10 cm depth in its 6 cm diameter reference field. The results indicate that ?is independent of the dosimeters and the evaluation methods. Maximum differences of 0.22% - 0.55% (combined uncertainties of 1.22% - 1.98%, k = 1) are obtained on ?using Varian iX, whereas discrepancies of 2.08% - 2.09% (combined uncertainties of 1.87% - 2.13%, k = 1) are observed using the Cyberknife system. Given the agreement between detectors and the combined standard uncertainties, the data from Varian iX could be considered the most accurate and consequently a weighted average factor of 0.902 ± 0.006 could be used for the Cyberknife VSI system reference field. Within measurement uncertainties, the absorbed dose rate measured in the Cyberknife VSI system reference field was found to be independent of the dosimeters used. These results suggest that the absorbed dose measured at a point within a given field size should be the same, regardless the dosimeter used, if their dosimetric characteristics are well known. This highlighted the importance of performing dosimetry by controlling all parameters that could affect the dosimeter response. One can conclude that radiochromic film dosimetry can be considered as an appropriate alternative for measuring absorbed dose to water rate.

关键词： Small Field Dosimetry Reference Field Cyberknife Gafchromic Films Ionization Chambers Dose Rate EBT3 MD-V3 6 MV X-Rays

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Assessment of the exploitable biomass of thread herring(Opisthonema spp.)in northwestern Mexico

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Acta Oceanologica Sinica 2021年第9期40卷 53-65页

作者： Marcelino Ruiz-Dominguez Casimiro Quinonez-Velazquez Dana Isela Arizmendi-Rodriguez Victor Manuel Gomez-munoz Manuel Otilio Nevarez-Martinez Facultad de Ciencias del Mar Universidad Autonoma de SinaloaMazatlan 82000Mexico Instituto Politecnico Nacional Centro Interdisciplinario de Ciencias MarinasLa Paz 23000Mexico Instituto Nacional de Pesca y Acuacultura Centro Regional de Investigacion Pesquera Unidad GuaymasGuaymas 85400Mexico

In recent years,the small pelagic fishery on the Pacific northwest coast of Mexico has significantly increased fishing pressure on thread herring Opisthonema *** fishery is regulated using a precautionary approach(acceptable biological catch(ABC)and minimum catch size).However,due to fishing dynamics,fish aggregation habits and increased fishing mortality,periodic biomass assessments are necessary to estimate ABC and assess the resource *** Catch-MSY approach was used to analyze historical series of thread herring catches off the western Baja California Sur(BCS,1981–2018)and the Gulf of California(GC,1972–2018)to estimate exploitable biomass and target reference points in order to obtain catch *** to the results,in GC,the maximum biomass reached in 1972(at the beginning of fishery)and minimum biomass reached in 2015;the estimated exploitable biomass for 2019 was 42.2×10^(4) t;and the maximum sustainable yield(MSY)was 15.4×10^(4) *** the western BCS coast,the maximum biomass was reached in 1981(at the beginning of fishery)and minimum biomass was reached in 2017;the estimated exploitable biomass for 2019 was 3.2×10^(4) t;and the MSY was 1.2×10^(4) *** stocks showed a decrease in biomass over the past years and were currently near to point of full *** results suggest that the use of the Catch-MSY method is suitable to obtain annual biomass estimates,in order to establish an ABC,to know the current state of the resource,and to avoid overcoming the potential recovery of the stocks.

关键词： Catch-MSY thread herring exploitable biomass estimate

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Differential diagnosis of uterine vascular anomalies:Uterine pseudoaneurysm as a cause of massive hemorrhage

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World Journal of Clinical Cases 2025年第9期13卷 60-64页

作者： Teresa Gastañaga-Holguera Isabel Campo Gesto Laura Gómez-Irwin Marta Calvo Urrutia Department of Obstetrics and Gynecology San Carlos Clinical HospitalMadrid 28040Spain Department of Gastroenterology University Hospital of CrucesBaracaldo 48903BizkaiaSpain

In this article,we comment on the paper by Kakinuma et al published *** focus specifically on the diagnosis of uterine pseudoaneurysm,but we also review other uterine vascular anomalies that may be the cause of life-threating hemorrhage and the different causes of uterine *** artery pseudoaneurysm is a complication of both surgical gynecological and nontraumatic *** hemorrhage is the consequence of the rupture of the *** artery pseudoaneurysm can develop after obstetric or gynecological procedures,being the most frequent after cesarean or vaginal deliveries,curettage and even during ***,there are several cases described unrelated to pregnancy,such as after conization,hysteroscopic surgery or laparoscopic *** is the clinical manifestation and it can be life-threatening so suspicion of this vascular lesion is essential for early diagnosis and ***,there are other uterine vascular anomalies that may be the cause of severe hemorrhage,which must be taken into account in the differential *** tomography angiography and embolization is supposed to be the first therapeutic option in most of them.

关键词： Uterine artery pseudoaneurysm Vascular anomaly Uterine vascular malformation Massive hemorrhage Postpartum hemorrhage Angiography Uterine embolization Transarterial embolization

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Intravenous iron in inflammatory bowel disease

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World Journal of Gastroenterology 2009年第37期15卷 4666-4674页

作者： Manuel muoz Susana Gómez-Ramírez José Antonio García-Erce Transfusion Medicine School of Medicine University of Málaga Málaga 29071 Spain Department of Internal Medicine University Hospital Virgen de la Victoria Málaga 29010 Spain Department of Hematology and Hemoterapy University Hospital Miguel Servet Zaragoza 50008 Spain

The prevalence of anemia across studies on patients with inflammatory bowel disease (IBD) is high (30%). Both iron defi ciency (ID) and anemia of chronic disease contribute most to the development of anemia in IBD. The prevalence of ID is even higher (45%). Anemia and ID negatively impact the patient's quality of life. Therefore, together with an adequate control of disease activity, iron replacement therapy should start as soon as anemia or ID is detected to attain a normal hemoglobin (Hb) and iron status. Many patients will respond to oral iron, but compliance may be poor, whereas intravenous (IV) compounds are safe, provide a faster Hb increase and iron store repletion, and presents a lower rate of treatment discontinuation. Absolute indications for IV iron treatment should include severe anemia, intolerance or inappropriate response to oral iron, severe intestinal disease activity, or use of an erythropoietic stimulating agent. Four different products are principally used in clinical practice, which differ in their pharmacokinetic properties and safety profi les: iron gluconate and iron sucrose (lower single doses), and iron dextran and ferric carboxymaltose (higher single doses). After the initial resolution of anemia and the repletion of iron stores, the patient's hematological and iron parameters should be carefully and periodically monitored, and maintenance iron treatment should be provided as required. New IV preparations that allow for giving 1000-1500 mg in a single session, thus facilitating patient management,provide an excellent tool to prevent or treat anemia and ID in this patient population, which in turn avoids allogeneic blood transfusion and improves their quality of life.

关键词： Inflammatory bowel disease Anemia Iron deficiency Functional iron deficiency Erythropoiesisstimulating agents Oral iron Intravenous iron

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Appraising trapping efficiency of vegetative barriers in agricultural landscapes:Strategy based on a probabilistic approach based on a review of available information

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International Soil and Water Conservation Research 2024年第3期12卷 615-634页

作者： José-Antonio muñoz Gema Guzmán María-Auxiliadora Soriano José A.Gómez Institute for Sustainable Agriculture(IAS)-CSIC Cordoba14004Spain Andalusian Institute of Agricultural and Fisheries Research and Training(IFAPA) Granada18004Spain Agronomy Department(DAUCO) University of CordobaCordoba14071Spain

Vegetative barriers have proven their effectiveness in controlling water erosion and enhancing other ecosystem services in agricultural *** characteristic has led to the conservation and promotion of vegetative barriers as landscape elements by the Common Agricultural Policy and other policy *** reviews have dealt with the trapping efficiency of vegetated barriers,although they usually focus on studies from humid climates where their implantation and survival are more ***,vegetated barriers are also an attractive alternative in arid and semi-arid *** limit competition for water and nutrients with crops to a reduced area compared to other best management practices,such as cover *** study presents a review of trapping efficiency of sediment,runoff,and nutrients(P and N)by vegetative barriers in regions of humid and arid,and semi-arid,climates,and a strategy based on sediment trapping efficiency probability,which in turn is based on the results obtained from our *** types of independent variables were grouped and identified for the review:related to the vegetative barrier dimension(buffer width,slope of the plot,and buffer area ratio),and related to the experimental conditions(type of vegetation in the buffer,soil protection of the non-buffered area,type of climate,type of experimental measurement and origin of rainfall).An explor-atory analysis evaluated the significance of the experimental variables,which identified the need to focus on experiments under natural rainfall since those carried out with simulated rainfall presented statis-tically significant *** general,average trapping efficiencies for runoff and sediment were 40.1 and 62.6%,*** nutrients,values of trapping efficiencies had an average of 44.9%for phosphorus and 38.4%for *** and sediment trapping efficiency in arid and semi-arid re-gions tended to be higher than in humid *** dimensional

关键词： Connectivity Sediment transport Runoff Nutrients Experimental plots Buffer strip

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Perioperative anemia management in colorectal cancer patients:A pragmatic approach

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World Journal of Gastroenterology 2014年第8期20卷 1972-1985页

作者： Manuel muoz Susana Gómez-Ramírez Elisa Martín-Montaez Michael Auerbach Transfusion Medicine School of MedicineUniversity of Málaga29071-MálagaSpain Internal Medicine University Hospital Virgen de la Victoria29071-MálagaSpain Department of Pharmacology School of MedicineUniversity of Málaga29071-MálagaSpain Georgetown University School of Medicine WashingtonDC 20057United States

Anemia,usually due to iron deficiency,is highly prevalent among patients with colorectal *** cytokines lead to iron restricted erythropoiesis further decreasing iron availability and impairing iron *** anemia predicts for decreased *** blood transfusion is widely used to correct anemia and is associated with poorer surgical outcomes,increased post-operative nosocomial infections,longer hospital stays,increased rates of cancer recurrence and perioperative venous *** are more likely to occur in those with low preoperative serum ferritin level compared to those with normal levels.A multidisciplinary,multimodal,individualized strategy,collectively termed Patient Blood Management,minimizes or eliminates allogeneic blood *** includes restrictive transfusion policy,thromboprophylaxis and anemia management to improve *** of preoperative hemoglobin levels is a World Health Organization *** repletion should be routinely ordered when *** iron is poorly tolerated with low adherence based on published *** iron is safe and effective but is frequently avoided due to misinformation and misinterpretation concerning the incidence and clinical nature of minor infusion *** adverse events with intravenous iron are extremely *** formulations allow complete replacement dosing in 15-60 min markedly facilitating *** stimulating agents may improve response rates.A multidisciplinary,multimodal,individualized strategy,collectively termed Patient Blood Management used to minimize or eliminate allogeneic blood transfusion is indicated to improve outcomes.

关键词： Colorectal cancer Anemia Allogeneic blood transfusion Intravenous iron Erythropoiesis stimulating agents Patient Blood Management

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Prevalence of Helicobacter pylori infection among patients with esophageal carcinoma

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World Journal of Gastroenterology 2024年第29期30卷 3479-3487页

作者： Miriam López-Gómez Maria Morales Rebeca Fuerte Marta muñoz Pedro-David Delgado-López Jorge Francisco Gómez-Cerezo Enrique Casado Department of Medical Oncology Precision Oncology LaboratoryInfanta Sofía University HospitalSan Sebastián de los Reyes 28231MadridSpain Department of Medical Oncology Infanta Sofía University HospitalSan Sebastián de los Reyes 28702Spain Department of Internal Medicine Infanta Sofía University HospitalSan Sebastián de los Reyes 28703MadridSpain Department of Pathology Infanta Sofía University HospitalSan Sebastián de los Reyes 28702Spain Department of Neurosurgery Burgos University HospitalBurgos 09006Spain Department of Internal Medicine Infanta Sofía University Hospital and Henares University Hospital Foundation for Biomedical Research and InnovationSan Sebastian de los Reyes 28702MadridSpain Department of Medical Oncology Infanta Sofia University Hospital and Henares University Hospital Foundation for Biomedical Research and InnovationSan Sebastian de los Reyes 28702MadridSpain

BACKGROUND Helicobacter pylori(***)is a widespread microorganism related to gastric adenocarcinoma(AC).In contrast,it has been reported that an inverse association exists between *** infection and esophageal *** mechanisms underlying this supposedly protective effect remain *** To determine the prevalence of *** infection in esophageal carcinoma patients,we performed a retrospective observational study of esophageal tumors diagnosed in our *** We retrospectively reviewed the prevalence of *** infection in a cohort of patients diagnosed with esophageal *** or previous proton pump inhibitor(PPI)usage was also *** A total of 89 patients with esophageal carcinoma(69 males,77.5%),with a mean age of 66 years(range,26-93 years)were *** was the most frequent pathological variant(n=47,52.8%),followed by squamous cell carcinoma(n=37,41.6%).Fourteen ACs(29.8%)originated in the gastroesophageal junction and 33(70.2%)in the esophageal ***,54 patients(60.7%)presented at stages III and *** *** infection occurred only in 4 patients(4.5%),3 with AC(6.3%of all ACs)and 1 with squamous cell carcinoma(2.7%of all squamous cell tumors).All patients with previous *** infection had stage *** one patient had received prior *** eradication therapy,whereas 86(96.6%)had received previous or concomitant PPI *** In our cohort of patients,and after histologic evaluation of paraffin-embedded primary tumors,we found a very low prevalence of previous *** *** also reviewed the medical history of the patients,concluding that the majority had received or were on PPI *** minimal prevalence of *** infection found in this cohort of patients with esophageal carcinoma suggests a protective role.

关键词： Helicobacter pylori Eradication Esophageal tumor Dysbiosis Proton pump inhibitors Carcinogenesis Microbiota Incidence

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Anchoring of 10-phenylphenothiazine to mesoporous silica materials:A water compatible organic photocatalyst for the degradation of pollutants

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Journal of Materials Science & Technology 2022年第8期103卷 134-143页

作者： Daniel González-muñoz Almudena Gómez-Avilés Carmen B.Molina Jorge Bedia Carolina Belver Jose Alemán Silvia Cabrera Organic Chemistry Department Science FacultyUniversidad Autónoma de Madrid28049 MadridSpain Chemical Engineering Department Science FacultyUniversidad Autónoma de Madrid28049 MadridSpain Institute for Advanced Research in Chemical Sciences(IAdChem) Universidad Autónoma de Madrid28049 MadridSpain Inorganic Chemistry Department Science FacultyUniversidad Autónoma de Madrid28049 MadridSpain

The application of organic photocatalysts towards the oxidation of pollutants in water is hampered by different limitations such as their insolubility in the ***,we report that the grafting of a photoorganocatalyst into mesoporous silica materials is an ideal approach to obtain effective ***,the photocatalyst 10-phenylphenothiazine(PTH)was easily anchored into three different mesoporous silica-based materials(MSN,MSU-2 and SBA-15)with different particle sizes and pore sizes through an amide bond *** materials were characterized using IR analysis,solid-state X-ray diffraction,porosity and microscopy(SEM and TEM)techniques,showing that PTH is immobilized inside the pores of the materials and its optical properties are maintained after the *** homogeneous PTH was inactive in water media,the three photocatalytic materials were active for the degradation of ***-15-AP-PTH exhibited the highest catalytic performance towards the degradation of acetaminophen and diclofenac under solar irradiation,finding in this manner a new strategy for the decontamination of pollutants.

关键词： Organic semiconductors Silica support Solar photocatalysis Water treatment Pharmaceuticals

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Dinophysoid dinoflagellates from subphotic depths:Amphisolenia ***,Dinofurcula tricornuta ***.,and Dinophysis profunda ***.(Dinophysales,Dinophyceae)

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Journal of Oceanology and Limnology 2022年第2期40卷 703-711页

作者： Fernando GÓmez Department of Biological and Environmental Sciences and Technologies University of SalentoLecce 73100Italy

Three species of dinophysoid planktonic dinoflagellates are described from the eastern Mediterranean *** *** was collected at 70-m depth in the Ionian *** small species showed a more asymmetric midbody and a proportionally longer neck when compared to the closer relative *** individuals of Dinofurcula tricornuta *** at 154-m depth in the Marmara Sea are characterized by three posterior-oriented processes when compared to its congeneric *** is the first record of the genus Dinofurcula beyond the eastern tropical Pacific *** profunda *** at 500-m depth in the Ionian Sea is characterized by ovate hypotheca and a serrate crest-like left sulcal list when compared to its close relative *** findings evidence an undescribed biodiversity in the under-sampled subphotic depths.

关键词： deep ocean Dinophyta Dinoflagellata Mediterranean Sea mesopelagic new species

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Combination of squamous cell carcinoma antigen immunocomplex and alpha-fetoprotein in mid-and long-term prediction of hepatocellular carcinoma among cirrhotic patients

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World Journal of Gastroenterology 2021年第48期27卷 8343-8356页

作者： Antonio Gil-Gómez Ángela Rojas Chang-Hai Liu Rocio Gallego-Duran Rocio muñoz-Hernandez Giorgio Fassina Patrizia Pontisso Javier Ampuero Manuel Romero-Gómez SeLiver Group Institute of Biomedicine of SevilleSeville 41013Spain CIBERehd Instituto de Salud Carlos IIIMadrid 28029Spain mucosal Immunity Lab IRCCS Humanitas Research HospitalMilan 20089Italy Center of Infectious Diseases West China Hospital of Sichuan UniversityChengdu 610017Sichuan ProvinceChina State Key Laboratory of Biotherapy and Center of Infectious Diseases West China HospitalChengdu 610017Sichuan ProvinceChina Life Biotechnology Padua UniversityVenice 30175Italy Department of Clinical and Experimental Medicine University of PadovaPadova 35123Italy UCM Digestive Diseases Virgen del Rocío University HospitalSeville 41014Spain

BACKGROUND The combination of alpha-fetoprotein(AFP)and squamous cell carcinoma antigen immunocomplex(SCCA-IgM)have been proposed for its use in the screening of hepatocellular carcinoma(HCC).Current screening programs for all cirrhotic patients are controversial and a personalized screening is an unmet need in the precision medicine *** To determine the role of the combination of SCCA-IgM and AFP in predicting mid-and long-term appearance of *** Two-hundred and three cirrhotic patients(Child A 74.9%,B 21.2%,C 3.9%)were followed-up prospectively every six months to screen HCC by ultrasound and AFP according to European Association for the Study of the Liver *** estimation cohort was recruited in Italy(30.5%;62/203)and validation cohort from Spain(69.5%;141/203).Patients underwent to evaluate SCCA-IgM by enzyme-linked immunosorbent assay(Hepa-IC,Xeptagen,Italy)and AFP levels at *** were followed-up for 60 mo,being censored at the time of the appearance of *** There were 10.8%and 23.1%of HCC development at two-and five-years *** with HCC showed higher levels of SCCA-IgM than those without it(425.72±568.33 AU/mL vs 195.93±188.40 AU/mL,P=0.009)during the fiveyear *** multivariate analysis,after adjusting by age,sex,aspartate transaminase and Child-Pugh,the following factors were independently associated with HCC:SCCA-IgM[Hazard ratio(HR)=1.001,95%CI:1.000-1.002;P=0.003],AFP(HR=1.028,95%CI:1.009-1.046;P=0.003)and creatinine(HR=1.56495%CI:1.151-2.124;P=0.004).The log-rank test of the combination resulted in 7.488(P=0.024)in estimation cohort and 11.061(P=0.004)in the validation cohort,and a 100%of correctly classified rate identifying a low-risk group in both cohorts in the two-year *** We have constructed a predictive model based on the combination of SCCA-IgM and AFP that provides a new HCC screening method,which could be followed by tailored HCC surveillance for individual patients,esp

关键词： Squamous cell carcinoma antigen Hepatocellular carcinoma prediction Precision medicine Stratification of cirrhotic patient

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